Percutaneous Retrieval of Retained Gallstones.

Authors

Saudia McCarley, Department of Surgery, Reading Hospital-Tower Health, West Reading, PAFollow
Bernice Yu, Department of Surgery, Reading Hospital-Tower Health, West Reading, PAFollow
Robert Guay, Department of Interventional Radiology, Reading Hospital-Tower Health, West Reading, PAFollow
Adrian Ong, Division of Trauma, Acute Care Surgery, and Surgical Critical Care, Department of Surgery, Reading Hospital-Tower Health, West Reading, PAFollow
David Sacks, Department of Interventional Radiology, Reading Hospital-Tower Health, West Reading, PAFollow
Christopher Butts, Division of Trauma, Acute Care Surgery, and Surgical Critical Care, Department of Surgery, Reading Hospital-Tower Health, West Reading, PAFollow

Document Type

Article

Publication Date

6-2023

Abstract

Laparoscopic cholecystectomy has become the gold standard for patients with gallbladder disease. However, spilled gallstones occur in up to 18% of laparoscopic cholecystectomies, which may result in retained gallstones. Though most do not cause issues, there may be abscess formation from 4 months to 10 years postoperatively. We present a 78-year-old patient who formed a subhepatic abscess 3 months postoperatively from his laparoscopic cholecystectomy secondary to a 1 cm retained gallstone. The abscess was percutaneously drained by interventional radiology (IR), and the stone was subsequently removed by IR using a percutaneous approach. Open and laparoscopic approaches have been previously described for abscess drainage and removal of gallstones. In this case, both the abscess and stone were drained and removed percutaneously by IR. Though this is an uncommon entity, percutaneous decompression can aid in preventing such patients from undergoing additional surgery.

Publication Title

The American surgeon

Volume

89

Issue

6

First Page

2918

Last Page

2919

Recommended Citation

McCarley, S., Yu, B., Guay, R., Ong, A., Sacks, D., & Butts, C. (2023). Percutaneous Retrieval of Retained Gallstones.. The American surgeon, 89 (6), 2918-2919. https://doi.org/https://doi.org/10.1177/00031348221084944